Adherence and Intensification of Medications (AIM) Implementation Study
Completed · Not applicable
Conditions studied: Diabetes, Hypertension
In brief
Background: Good blood pressure (BP) control among patients with diabetes is essential in preventing diabetes complications and has been found to be not only cost-effective but cost-saving. Nonetheless, over 25% of VA patients with diabetes do not have adequate BP control. Among these poorly controlled patients, over 65% have problems with medication adherence or inadequate intensification of medications. We therefore propose a partnership with the VA Pharmacy Benefits Management (PBM) Office and VISN 11 to evaluate a tailored clinical pharmacist-based intervention to improve medication management, adherence and BP control. Objectives: The specific objectives of this implementation study are: 1) To evaluate the effects of the intervention on blood pressure (primary outcome) and glycemic and lipid control (secondary outcomes); 2) To assess the impact of the intervention on patients' adherence to blood pressure, anti-hyperglycemic, and lipid-lowering regimens, and intensity of these regimens; 3) To evaluate the cost-effectiveness of the intervention compared to usual care; 4) To evaluate the level of attainment of intervention implementation, examine the process of intervention implementation, and determine the potential for sustainability.
Key facts
- Study ID
- NCT00495794
- Run by
- US Department of Veterans Affairs
- People needed
- 4622
- Starts
- 2008-08-01
- Expected to finish
- 2012-07-01
- Last updated by the study team
- 2015-04-28
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- VA inclusion criteria
- Must be a veteran at a study site;
- Have a diagnosis of diabetes;
- Meet blood pressure, medication adherence and intensification requirements (as determined by the study team)
You may not qualify if…
- VA Exclusion
- Dementia
- Traumatic brain injury
- Pregnancy
- Age <18 or >100
Where it is running
- VA Ann Arbor Healthcare System, Ann Arbor, MI — Ann Arbor, Michigan, United States
Full record on ClinicalTrials.gov
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